| Street | zaulek Rogozinski 8a | ||
| City/Town | Wroclaw | ||
| State/Province/Region | Wroclaw | ||
| Zip/Postal Code | 51-116 | ||
| Phone Number | 71 352 89 39 | ||
| Country | Poland |
| Full Name | doc. Leon Wróblewski | ||
| Gender | male | ||
| Birthday | 1977-09-25 | ||
| Social Security Number | 73080487445 |
| Credit card brand | JCB | ||
| Credit card number | 3597700558174841 | ||
| Expire | 2029/2 | ||
| CVV | 236 |